TY - JOUR
T1 - Thirty-day readmissions after inpatient laparoscopic cholecystectomy
T2 - Factors and outcomes
AU - Rana, Gurteshwar
AU - Bhullar, Jasneet Singh
AU - Subhas, Gokulakkrishna
AU - Kolachalam, R. B.
AU - Mittal, V. K.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Background 30-day readmissions are a considerable financial burden on medical institutions due to penalties faced from the Centers for Medicaid and Medicare. Methods A retrospective review of 30-day readmissions was performed. The data were subdivided into medical severity-diagnostic related groups 417, 418, and 419, as categorized by the Centers for Medicaid and Medicare. Perioperative variables, diagnostic workup, operative interventions, and postoperative morbidity and outcomes were analyzed. Results Forty-four (5.9%) readmissions were recorded, of 747 inpatient discharges. The data were further divided into DRGs 417, 418, and 419 with readmission rates of 13.6, 3.6%, and 5.4%, respectively. The highest rate of readmission was within the first 7 days. Etiology was divided into surgical (54.5%) and nonsurgical (45.4%). Conclusions Patients with major comorbidities had a higher rate of readmission (P <.05). In 45.4% of the readmissions, the cause was found to be nonsurgical. The surgical team was not consulted in 31.8% of the readmissions.
AB - Background 30-day readmissions are a considerable financial burden on medical institutions due to penalties faced from the Centers for Medicaid and Medicare. Methods A retrospective review of 30-day readmissions was performed. The data were subdivided into medical severity-diagnostic related groups 417, 418, and 419, as categorized by the Centers for Medicaid and Medicare. Perioperative variables, diagnostic workup, operative interventions, and postoperative morbidity and outcomes were analyzed. Results Forty-four (5.9%) readmissions were recorded, of 747 inpatient discharges. The data were further divided into DRGs 417, 418, and 419 with readmission rates of 13.6, 3.6%, and 5.4%, respectively. The highest rate of readmission was within the first 7 days. Etiology was divided into surgical (54.5%) and nonsurgical (45.4%). Conclusions Patients with major comorbidities had a higher rate of readmission (P <.05). In 45.4% of the readmissions, the cause was found to be nonsurgical. The surgical team was not consulted in 31.8% of the readmissions.
KW - 30-day readmissions
KW - Inpatient
KW - Laparoscopic cholecystectomy
KW - Major comorbidities
KW - Reducing readmission rate
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U2 - 10.1016/j.amjsurg.2015.12.007
DO - 10.1016/j.amjsurg.2015.12.007
M3 - Article
C2 - 26916961
AN - SCOPUS:84959440537
SN - 0002-9610
VL - 211
SP - 626
EP - 630
JO - American journal of surgery
JF - American journal of surgery
IS - 3
ER -